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General NPI Number Information
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NPI Number | 1972268472
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Entity Type | Individual
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Provider Name | ADIB CHOWDHURY
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Gender | Male
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Dates
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Enumeration Date | 11/01/2021
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 2741 E BELT LINE RD STE 107
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City | CARROLLTON
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State | TX
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Zip | 75006-5429
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Country | US
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Telephone | 214-789-1387
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 HARRISBURG LN
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City | PLANO
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State | TX
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Zip | 75025-5515
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Country | US
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Telephone | 468-744-1853
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-21-54733
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License Number State | TX
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